Individual
THOMAS F DIAZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1722 BETHLEHEM PIKE, FLOURTOWN, PA 19031-1644
(215) 233-9700
(215) 233-9710
Mailing address
PO BOX 820933, PHILADELPHIA, PA 19182-0933
(215) 233-9700
(215) 233-9710
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD-440335
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1007278000
MEDICAID TPI GROUP
PA
01
—
597586
MEDICARE TPI GROUP
PA
01
—
CD4829
RAILROAD MEDICARE TPI GROUP
PA
Enumeration date
07/21/2008
Last updated
11/20/2013
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